Permit (83) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
;IICOMMUNITY DEVELOPMENT Permit#: FPS2017-00164
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/25/2017
t �'� Parcel: 2S101AD03500
Jurisdiction: Tigard
Site address: 6600 SW HAMPTON ST
Project: Farmers Insurance Subdivision: WEST PORTLAND HEIGHTS Lot: None
Project Description: Fire alarm permit: Installing(33)horn/strobes,(22)strobes,(1)NAC power supply,and(1)duct smoke detector for
TI.
Contractor: CAPITOL ELECTRIC CO INC Owner: PACIFIC REALTY ASSOCIATES
11401 NE MARX STREET ATTN: N PIVEN
PORTLAND, OR 97220 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-255-9488 PHONE:
FAX: 503-257-7121
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/25/2017 $274.36
12%State Surcharge-Building 10/25/2017 $32.92
Type of Use: COM Plan Review-Fire Life Safety-COM 10/25/2017 $109.74
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 10/25/2017 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 10/25/2017 $0.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $421.52
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $18,250.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By� Permittee Signature: `.__f'
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ItEctilittl
FOR OFFICE USE ONLY
Fire Protection System
Received pr..... Permit No.:`=6k i 7.....x.„----,/(09
City of Tigard DateBy: 17 i7 �f�/
I - a 13125 SW Hall Blvd.,Tigard,OR 97223 t-t r-� 17 2017 Plan Review Iw l4 rpt',Z�� Other Permit: c � i 7-(;J (�S
UU Date/By: 1C/
Phone: 503.718.2439 Fax: 503.598.1960 � y Juris: ® See Page 2 for
Inspection Line: 503.639.4175 aa Date Ready/
TIGARD p "' OT$ Noti et ` t,� //( / / v`v I Supplemental Information
Internet: www Ugard or gov
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Demolition Permit fees*are based on the value of the work performed.
El New
New constructionIndicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
���' „p r .t �. �. -,.,1 -1-4,45,k1= X1,44'` work indicated on this application.
'�, � "l ti i �l� , � „As"-!r_ ,,,,,,. +i,. a! ,, .-a .,,G:. valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
Number of bathrooms:
❑Master builder 0 Other:
w Q '� z1� r ,,'' r Total number of floors:
`� '-� -*t i .,. ��, �I iu !, A, r,, ,., r»r. �� v.,r 04 .-�, r. : C,r�"r,1 "i
�,��d�^. �'� ^p �` "0' New dwelling area: square feet
Job site address:6600 SW Hampton Street square feet
City/State/ZIP:Tigard,OR 97223 q
Garage/carport area:
Suite/bldg./apt.no.: I Project name:Farmer's TI
Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
i a - Lli 7) :3k
I Lot no.: Permit fees*are based on the value of the work performed.
Subdivision: Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
: _:,
t �i IO R O } �" ', , 1 hw, work indicated on this application.
,. �A 0,: ::rs , �. t t'.. 16 � a. r. �. . J $18 250.00
�, ,- - a Valuation:
Install fire alarm devices per submitted plans. Existing building area: square feet
New building area: square feet
� a � , im t4 ( ` ut ' t k u4 - " = Number of stories:
,-j ' c - a , a . I, d, -4-.74T. sr;
Type of construction:
Name:Shorenstein Realty Services
Occupancy groups:
Address:
City/State/ZIP: Existing:
Phone:( ) Fax ( )
New:
- '
7 4 h iY Ir2 , --0
1.�Ac �k �. o- 4e - m1lk
rt 1 v�adi�
y ,
117E
� ...5';z'e 7 -74- . H ; 4 ar ' . 1' , „ 0.•"1,0- r _rs ll . �7ila= t - ..,i.-,r ,v , �: F x.
Business
name: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
Address: applicant is exempt from licensing,the following reasons
City/State/ZIP: apply:
Phone:( ) I Fax::( )
E-mail:
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itt
�." - - fir» .;:mµ- 5t.; -�:'Yaa,'fly* �n�,� t',--���,i,t?.�.,:1,.� 3..rK'-�,���'r �'4 `
Business name:Capitol Electric Company,Inc. Permit fee: 274.36
Address: 11401 NE Marx Street State surcharge(12%of permit fee): 32.92
City/State/Z1P:Portland,OR 97220 FLS plan review(40%of permit fee): 109.74
Phone:(503)255-9488
Fax:(503)255-1966 (Due upon application submittal.)
Total permit fees: 417.02
CCB lic.:48748
Amount received:
Authorized signature: /
a/� This permit application expires if a permit is not obtained
I within 180 days after it has been accepted as complete.
Print name:Shane Tercek I Date:10/9/17 I * Fee methodology set by Tri-County Building Industry
Service Board.
C440-4613T(11/02/COM/W EB)
�Buildi ng�Permits�FPS-PermitApp_031016.doc
/ . . v •
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: Number of alarm devices:
® Addition or ❑ 1-10 heads: Affidavit required and ❑ 1 5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3) copies ofi sketch showing area
to existing of work within building structure of work within building structure
system
El11+ heads: Plan review required and ® 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
o-: t ':+� x�'u., ? M ti SIP ffi3° d r" I- ,t6,1„
4 w-,: ill,'� 1` i s. 'kms
x ii kali�
u tau —,,,,,,,--s - Ila" m °
6 'o s; G ad 0, �� .i. ''''''111'-4 a
��c it 0 .1.°
i i .,a-s 4- p1 : i� .. i, �� _ t! t' �t i ', ., , m
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
,, oPP�rroje^e.acct Valuq 's ®IP �r„ Pi -- -—: d # Spr? ke�d r; tVauaion,: d $$r
. w r -A
ation:
,,„,_.
„ .... Pir-. :' 4,--- 7;':::-..- 2,-.,-41'L'
Ar,_((IV
y ,NAS:` C?? t f x ..
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: 1 $ 18,250
' ( * , i1 1 "!.//,#�+c # M 1 e`- 1 �,a `t.----'7:i,, _ >y. a fit '- ( iP .� '
Square Footage: Permit Fee: : ea
0 to 2 000 $198.75 �, -
tti a 't �: -.. �` '- YI;;;,,y.
;, .-,,It_ f„..
2,001 to 3,600 $246.45 � r`irr ''
3,601 to 7,200 $310.05 �„
7,201 and greater $404.39 , -� ; r 4 � ;,�. � ' �..
Sprinkler Project Square Footage: I sq. ft.
e51---?1,),45-
ig ���� -:1,,''
�- . .� r g L !I : r, e.. I Ili• r
Project valuation subtotal (see A,B &C above): $ 2,400
Permit fee based on project valuation (see fee schedule): $ 102.20
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 12.26
FLS Plan Review(40% of permit fee): $ 40.88
TOTAL: $ 155.34
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Dan\FA Jobs\zz171875-45 Farmer's TI\1 FPS_PermitP�p 2017.0126.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6600 SW HAMPTON ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00164
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor